Permit IN CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit #: MST2012 -00123
T I G ARE) 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/14/2012
Parcel: 25103DC00817
Jurisdiction: Tigard
Site address: 11225 SW FAIRHAVEN ST
Subdivision: VIRGINIA ACRES NO.2 Lot: 19
Project: Burman
Project Description: Replace existing exterior deck and add stairs to grade.
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second: 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third: 0 sf Right: 0
Detectors: No
Total: 0 sf Value: $8,000.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Tubs /Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Catch Basins: 0
Bckflw Prevntr. 0
Footing Drain: 0 Ice Maker. 0 Hose Bib: 0 Backwater Value: 0
Drywell -Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn <100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add'I 500 sf: 0 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0
Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0
601 -1000 amp: 0 601 +amp- 1000v: 0
1000 +amp/volt: 0
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VB R -3 0
Owner: Contractor:
BURMAN, RAYMOND N /JUDY L SUNSET BUILDERS LLC Required Items and Reports (Conditions)
11225 SW FAIRHAVEN ST 16552 SW SUNSET BLVD
TIGARD, OR 97223 SHERWOOD, OR 97140
PHONE: 503 -639 -0134 PHONE: 503 -425 -9934
FAX: 503 -625 -9273
Total Fees: $352.83
This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is sus! : ded for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification C er. Tho ru - = e set forth in OAR
952- 001 -0010 through A 952 -00 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5i 87 or 1. s
Issued By: . /.
Permittee Signature:,' ' �. / i 4 '
Call 503.639.4175 by 7:00 a.m. for the next available ins • ctio‘W P
This permit card shall be kept In a conspicuous place on the job site unti . • • I: • • bf the project.
Approved plans are required on the Job site at the time of each Inspection.
t, c
Building. Perm Applicat .
Residential . RECEIVED FOR ()Ili( I I Sl: OM
III , City of Tigard JUN 0 6 2012 S Permit No.: ' /s 7 _.D
0/.72
C 13125 SW Hall Blvd., Tigard, OR 9722 Plan Review "7in
Phone: 503.639.4171 Fax: 503.598 .96 Date/By: ( Other Permit:
Inspection Line: 503.639.4175 C OF TIGARD Date Ready/By: / �ws El See Page 2 for
riGARD
Internet: www.tigard -or.gov BUILDING DIVISION Notifi ettiod: 7 /6" Supplemental Information
VilY
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteratioqreplacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
�� CATEGORY OF CONSTRUCTION work indicated on this applicati r
Valuation: $ vi;. �f -eV
❑ 1- and 2- family dwelling ❑ Commercial/ industrial
yf � �
❑ Accessory building ❑ Multi- family
Number of bedrooms:
❑ Master builder ❑ Other. -� t ek Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: /Jr2n.5 < 5 ) �� e m i g v 2)e New dwelling area: square feet
City/State/ZIP: �4 O, Garage/carport area: square feet
Suite/bldgJapt. no.: Project name: j 41 Covered porch area: square feet
(s � l
str.ee9directions to job site: �{ / �/` n14- Deck area: •S. .4 5) 47quare feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: I Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
.4 01/0 11 -4E .f/215 4 P 44r/)7) Valuation: $
4 (� ., er, Existing building area: square feet
V /� New building area: square feet •
)21 OWNER ❑ TENANT Number of stories:
Name: e, �u� , / Type of construction:
Address: /� K fri ' ti/ Occupancy groups:
City/State/ZIP: l24. 4�rr 4/- Existing:
Phone: 0 'QM Fax: ( ) New
APPLICANT ❑ CONTACT PERSON NOTICE
Business name: .5#� g /tes L L, All contractors and subcontractors are required to be
Contact name: j> ', 4 , 'JS licensed with the Oregon Construction Contractors Board
,' tomt "'° under ORS 701 and may be required to be licensed in the
Address: /60-6 se 4/�,e5 � 3�'/�
� , jurisdiction in which work is being performed. If the
City/ State/ZIP: C` /��R�h 0 , e O2' applicant is exempt from licensing, the following reasons
J q' apply:
Phone: (3) 4'z5 99d/ / I Fax: : (djel 2 7a
7275
E- mail: `--• A / /qg Jit °7 0/¢/ �41
CONTRA C J
Business name: Plik647 BUILDING PERMIT FEES*
Address: 64/11E (Please refer to fee schedule)
City/State/ZIP:
Structural plan re 5 , 3
review fee (or deposit): / 9 f
FLS plan review fee (if applicable):
Phone: ( ) I Fax: ( )
`_29' ., Total fees due upon application:
/
CCB lic.: YJ
Amount received:
Authorized signature: / , This permit application expires if a permit is not obtained
/• l within 180 days after it has been accepted as complete.
Print name: / _ . ! .1. ._� A Date-
i , .... - Z_ • Fee methodology set by Tri-County Building Industry
Service Board.
l:\Building\Permits\BUP -RES PermitApp.doc 10/01/09 441 -4 . 3T(11 /02/COM/WEB)